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HomeMy WebLinkAbout12173-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of OcCUpancy No..$.'1.'1~.7~3 ......... Date ...... Qc.~Ol:)ex`..6 ................ 19. THIS CERTIFIES that the building .~.D/)/.T]20Iq' ...................................... Location of Property . .'16.3'15. FIa±n. Rd .......... .Ea s~;. Max-fi,an ...................... House No. Street Hamlet County Tax Map No. 1000 Section ....... 02.3 .Block ...... (~1 ....... Lot .... Subdivision ............................... Filed Map No ......... Lot No. conforms substantially to the Application for Building Permit heretofore fried in this office dated ...... FI,qmch~ .3 ....... 1983. pursuant to which Building Permit No...q dated ..... ~az-cJa. 3 ............... 19.83, was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ·. ,A. ~eck. ~d~itio~ .re. ~n. existin~ .dwe~limg. .............................. The certificate is issued to -TF~ODORE .iVLE~A.L3~©S; ............................. Iowner, lessee or tenant) ' ' ' of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO. lq'608068 · Building Inspector Rev. 1/81 ~uM NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12173 Z Date ........................................................ 0 19 ....... County Tax Map No. 1000 Section ........................ Block~ .................. Lot No ......................... pursuant to application dated ........................................................ , 19 ........ , and approved by the Building Inspector. Building In.q:mctor Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Depa,[,,,ent Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commemial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 ~ ~_/$ 2. Certificate of occupancy on pre-existing dwelling land use $/ 5.00 3. Copy of certificate of occupancy $1.00 New Building ............. Old or Pre-existing Building ... :~ ........ Vacant Land ............. Location of Property .... 16315. ~[ain. Road ...................................... ]~{~...M~c~.gn House No. Street Ham/et Owner or Owners of Property .. ~_~.. &. F-~s,. Theodore. ~tel:~li~s .............................. County Tax Map No. 1000 Section .. 023 .......... Block .. Ol ........... Lot... Q;L~,~2 ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. Z,~,L.73z .... Date of Permit . 3,/3/B3...Applicant .. Gerald. ~,Lp,m, r. ;]:~]!:~p.'lS. ~'p~i.C,~TNG TNC. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval. 608068 .Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... 15.00 Fee Submitted $ ...... . ....................... Construction on above described building and perrr~ meets all applicable codes and regulations. Applicant...~ ...... ~ ............ Rev. 10-10-78 '~'~'~-~- ~, /~ J ;' / i:~ '~ ~ ~' ~ - loom. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT in the ~ollowing I~atlon~ ~ B~ement ~ Ist FI. ~ 2nd FI. ~ S~tion Bilk w~ examlned on ~ ~ ~ ~ and ~ound to ~e in compllance with the requlrements of thls Board. RXTURE OUTLETS IIECEPTACLES SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FLUORESCENT DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: ~o1~ -' 1-1~ H.P. l~~: 1-Stir. 10~. S E R C S~ 1) irt .~ i at t da o n Celi Elect. 54 Riverhead ad. Wee~ ~grcon Beach, N.Y., 11978 LIC. #1022 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identifie~ Per ~ ~t~ae'~cc~ede~tials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FIELD I~SP~C~ION FOU!'~ DATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING IDATE INSULATION PER N. STATE ENERGY C,ODE FINAL YJ ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUI LDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ~xamined ................. 19... %pproved ............ .~/.~., 19~.. Permit No. !.~...( .7. ?...~ )isapproved a/c ...... ....~... ....................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No. /o~ [ '~..~ Date ................... 19... INSTRUCTIONS This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :ts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the ;uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or '.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ;tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor ~ame of owner of prem~es Mr. & Mrs. Theodore Metalios (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .............. ~..~. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No.. C0UN HCXqE mP~ O3NTRAUiDR LICI~SE # Location of land on which proposed work will be done. 16315 ........... .Ip?. ,.' .n . .Rm_:_a. d ............ East.l~arion,. h;.¥ .................. House Number Street Hamlet County Tax Map No. 1000 Section . .. 0.25 ............ Block . 01- ............... Lot.. 012.2 ............ Subdivision ..................................... Filed Map No ............... Lot (Name) ............... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Residence b. Intended use and occupancy ............... ~... ~-i..~.'~. ~..~. . ~ .~..'. ......... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration '. ......... Repair .............. Removal .............. Demolition .............. Other Work ~.aoD. PLATFORMS & REDWOOD,~HOT TUB (Description) $9,275 00 ~3~ 4. Estimated Cost .......... · ............................ Fee ...... : 1 · d. ~. ......................... (to be paid on f'iling this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front .... 5.8..~;.. ..... Rear . .5.15 .~;, Depth .24,5 .ft, Height ............... Number of Stories 2 ............ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ...2.0. '. 6. ~'. ...... Rear . .2. q '..6:'. ....... Depth . .3..1.'.6.'i ........ Height ............... Number of Stories ........................................................ 9. Size of lot: Front .... 132,13 .fi; ......... Rear . .114,41 .fi: ........... Depth . .455.09 .fi; ........... I0. 11. Date of Purchase ..... ~/.3/.1~ .................. Name of Former Owner P, andazzo .Bid, .Cca-t~n!t .Ina .... Zone or use district in which premises are situated. I~, A-]~ 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premisesl~., .& .I~..s,T, .M~ .~alioSddress ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor lR~'2r AND '.$ .I.3LklD~G .TE/C. Address Roui;e. 25A-vBox. 10... Phone No. 516-r922-~4800... East No,ich, N.Y. 11732 PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. az oc,< o/ /Atr~:/~/or~ LoT STATE OF NEW YORK, ' ~ COUNTY OF ................. S.S ................................. G~ALD .T..ELLIS.. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ..... O3NTRAC'I~R (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and f'de this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............ ...... Notary Pablic, ~,~.~. ~.,..C~..fl..~.~ounty ' ), I/ ~y ~ ~/~ /') / ~MELIA p. blt/biN ./' ' ~o. 3o.a~4~53~ (Signature of applicant) Qualdi~.d in t~oss,~u Count/ COmmission Expire~ ;Watch 30, SUFFOLK CO. HEALTH DEPT. AI=~ROVAL ~. s. ~o. ~~~ ~ATEMENT OF INTENT ;ME~AL 105 SUFFOLK CO. ~PT. OF HEALTH SERVICES A~ICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL ~o.~..~T,O. o.~ '/' APPROVED: SUFFOLK CO. TA~ MAP DE~NATION: ~ = ~'~ ~'~' (N. ~ ~1.~.) TEST HOLE __ to ~E * wuo r~u~ coed. ~IGNE~ ~ THE LEJlJ lJTq ~a~ ~ ~e w~~ &'t SEAL ROO~ ~~RI K VAN VL. PC LICENSED LAND $~VEYORS 9 rr r ~ROPOSE-~ i ! : ~r~ TUrBr'C'RIB :DETA~ 31' sideyard 1 . __ .... 4' ht. RAIL' ! i .... I "Rb"OSEDI EXISTING DECK ~, ~- ~ EXISTING DECK ~ 312' frontyard ............. ~ ~~; ,]<~,; ~ ',HOT TL ~ [~,. ~" //t~, , ~, ~ ~ 4 AIL RESIDENCE ~: ~PLA~FORM EXI,. ;T lNG DECK :JOIST. BEAM '& POST LAYOUT HOT TUB RAIL DETAIL 63' sldeyard ,~ EXI TNGDECK SHEATHING & RAIL DETAIL STEP DETAIL NOTE: SHEATHING & STRUCTURAL ELEMENTS #2 WOLMANIZED CONSTRUCTION GRADE YELLOW PINE. STRESS RATE-1300 PSI FASTENED WITH 10d GALVANIZED NAILS, 'NAILING' DETAIL iRESIDE 'bc copper Eubing is used J~or water distributing system; piping shall be ~, ol~ types K or L only APPROVED AS NOTED FEE: BY: NOT[FY BUILDING DEPARTMENT AZ ~0LLOWING INSPECTIONS ]. FOUNDATION - TWO RE~UI~ED 2. ROUGH - FRAMING A PLUMBING 3. INSULATION THE REOLUREMENTS OF THE N.Y. STATE CON5TRUCTION & ENERGY CODES NOT RESPONSIBLE FOR ' UNDER~TRUCTURE DETAIL ~:~ ~ PLATFORM CONSrTRUCTION DETAILS ~ERN BOUL~D {~ 25A), ~ / E~CH,~W~RK11732 CKQBY DESIGN~ OW6BY JOB NO. DATE REV.NO. SCALE RTE, 25 EAST MARION ',HOT ,0 EXISTING DECK JOIST,, BEAM & POST LAYOUT' ~:~HO'I' TUB(IRIB.DJ~TA!L 'NAILING. DETAIL 31' sldeyard _ _ .. . _ .4' ht. RAIL. ~,~,, __ ~; ! ' ' , ' / EXISTING DECK ': , ,. :' pR0, OSEDI .._ ' ~fi~ ~y~ I'~'-~ I '- ,~ - ' '~ 4' 312' frontyard II,.<; ,' / STE,IPS; |~1 /, %,, ,/<1i !RESIDENCE ..,,, !"LA*FORM, .... ¢ .... ' UNDERS-TRUCTURE DETAIL HOT TUB RAILDETAIL 30" rE -'- ROPI 3¢ 63' sideyard ,QATE 4', It. ! EXISTING ~"' DECK SHEATHING & RAIL DETAIL STEP DETAIL NOTE: SHEATHING & STRUCTURAL ELEMENTS #2 WOLMANIZED YELLOW PINE. FASTENED WITH CONSTRUCTION GRADE STRESS RATE-1300 PSI 10d GALVANIZED NAILS. ' RESIDEI~ '~ copper l~Jbing is used for water distributing system; piping shall be ~ oF types K or L only APPROVED AS NOTED ~ ~ FEE: BY r /T,Z/D~ NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POUR~'D CONCRETE 2. ROUGH - FRAMING ,% pLIJMBiNG 3. INSULATION 4. FINAL CO",'ST"H"-!I,Bhl MUST ALL CONS~R'~CTION SHALL MEET THE REOIIIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES NOT RESPONSIBLE FOR . ~'(~:~I~ PLATFORM 'CONSTRUCTION DETAILS ~ LANI~INC. t,~Z-,~,.,,.,,.,..NCRTHERN ~L~ARD {~ 25A), ~ MR. I MRS. T. METALIOS. , E~CH, NEW~RK 11732 CKa BY DESlGN~ DW~BY dOS NO. DATE REV.NO. SCALE ~ RTE.-25 EAST MARION